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Controlling the spread of disease

Diseases and immunity · Pathogens and transmission · note 3 of 3

Spec B10.1.6
Supplement (what this means)Supplement: only for the Extended papers (2 and 4). Core students can skip it. What the labels mean
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Controlling the spread of diseaseSpec B10.1.6

In short

The spread of disease is controlled by breaking transmission routes so fewer people take in pathogens. The main measures are a clean water supply, hygienic food preparation, good personal hygiene, waste disposal and sewage treatment. For example, treating drinking water and sewage stops water-borne diseases such as cholera from spreading.

Good public health stops pathogens reaching people in the first place. Each measure breaks a transmission route, so fewer people take in the pathogen.

Controlling the spread of disease
MeasureWhy it is important
A clean water supplyDrinking water is treated so it does not contain pathogens. This stops water-borne diseases, such as cholera, spreading.
Hygienic food preparationWashing hands and surfaces, cooking food thoroughly and storing it correctly stops pathogens getting into food or growing in it.
Good personal hygieneWashing hands, especially after using the toilet and before eating, removes pathogens and stops them being passed on.
Waste disposalRubbish is removed and dealt with so that pathogens in it cannot contaminate food, water or surfaces, and animals that carry pathogens are not attracted.
Sewage treatmentSewage contains pathogens from human faeces. Treating it means it does not contaminate drinking water or food crops. The stages of sewage treatment are not required.
Exam tip:

Link every measure to a route: the pathogen is kept out of water, food or off hands. 'It keeps things clean' earns no mark.

Quick check

  1. What is a pathogen?

    Show answer

    A disease-causing organism.

  2. What is a transmissible disease?

    Show answer

    A disease in which the pathogen can be passed from one host to another.

  3. Name the body defences in the syllabus.

    Show answer

    Skin, hairs in the nose, mucus, stomach acid and white blood cells.

Written and checked against the Cambridge IGCSE Combined Science (0653) specification · Updated October 2026

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